Organization Active NPI

3BG, Inc.

  • Pharmacy
  • Conway, AR
National Provider Identifier
1821335845
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
3BG, INC.
Practice address
810 Amity Rd
Suite 101
Conway, AR 72032-5988
Phone
(501) 358-3863
Fax
(501) 358-3865
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Angela Curtis, RPH
Title
President
Phone
(501) 358-3863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X AR Primary

Addresses

Primary practice location

810 Amity Rd
Suite 101
Conway, AR 72032-5988

Mailing address

810 Amity Rd
Suite 101
Conway, AR 72032-5988
Phone (501) 358-3863

Other names 1

  • AMITY ROAD PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20140929001974 AR Part B Supplier - Mass Immunization (Roster Biller Only) 9133349913 Practice locations: Conway, AR
O20200616001187 AR DME Supplier - Pharmacy 9133349913 Practice locations: Conway, AR
O20200623000232 AR Part B Supplier - Pharmacy 9133349913 Practice locations: Conway, AR

National Provider Directory

National Provider Directory
Tax ID family
3BG Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

810 Amity Rd
Ste 101
Conway, AR 72032
Phone (501) 358-3863

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1821335845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 AMITY RD",
            "address_2": "SUITE 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325988",
            "telephone_number": "501-358-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 AMITY RD",
            "address_2": "SUITE 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325988",
            "telephone_number": "501-358-3863",
            "fax_number": "501-358-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3BG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-358-3863",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMITY ROAD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.